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1 Form IA-6G INSURANCE COMPANIES ORDINANCE (CAP. 41)... (Name of company making this application) Application for Authorization to carry on General Business in or from Hong Kong 1. We certify that we are empowered to make application on behalf of the above-named company for authorization to carry on the following classes of general insurance business in or from Hong Kong : (Classes as set out in Part 3 of the First Schedule. Specify if the classes applied for authorization are in respect of reinsurance business only). 2. We further certify that the information supplied in support of this application is true and correct and that all estimates given are reasonable interpretations of facts which have been carefully considered and assessed. 3. We undertake to notify the Insurance Authority forthwith of any matter which affects the validity of any information given in support of this application. Dated this day of, 20. Directors :- Name :... Signed... Name :... Signed... The Chief Executive :- Name :... Signed... The Applicant Company's Seal, if applicable :-

2 - 2 - INFORMATION REQUIRED GENERAL NOTES (1) All parts of this form are to be completed. (2) All copies of original documents shall be certified by the chief executive as being true and correct copies of the originals. (3) All documents shall be produced either in the Chinese language or English language. Where documents are required to be translated, the chief executive of the company shall certify that to the best of his knowledge and belief the person making the translation is competent to translate the documents into the Chinese/English language. The person making the translation shall state his qualifications and certify that the translation is a true and correct translation of the original. (4) If insufficient space is provided in this form, please give details on a separate sheet. (5) Unless otherwise indicated, all references to sections or schedules are sections of or schedules to the Insurance Companies Ordinance (Cap. 41). (6) Please specify, as applicable, the currency used. (7) Please complete the Checklist at the Appendix. (8) IMPORTANT: (a) (b) An application should not be made until all the information required is available. In this connection, it is advisable to hold preliminary meetings with the Insurance Authority before submitting the formal application. The company should not commence to carry on any insurance business in or from Hong Kong, or make any press announcement, until its application has been approved. Any failure to observe this requirement will constitute an offence under the Insurance Companies Ordinance and may prejudice the application.

3 - 3 - PART 1 - THE COMPANY 1. Date and place of incorporation, registered number and registered office. 2. Brief summary of the corporate objectives of the company. 3. In the case of a non-hong Kong company, the date of registration under Part 16 of the Companies Ordinance (Cap. 622), the registered number, the address of the principal place of business in Hong Kong and the name and address of the person in Hong Kong authorized to accept service on behalf of the company. 4. The title and address of the insurance supervisory authority in the company's place of incorporation, in the case of a non-hong Kong company.

4 The capital structure of the company. (i) the amount of authorized share capital, if applicable. (ii) the amount of issued share capital and the amount fully paid-up. (iii) the amount paid up in respect of redeemable preference shares included in (ii) above, if any. (iv) the amount of subordinated loan stock, if any, and the interest rate applicable. (v) the proposed amount of the issued share capital which will be fully paid-up immediately prior to authorization, if such is granted. 6. The date of the financial year end of the company. 7. A statement showing the amount by which the assets are expected to exceed liabilities (excluding liabilities in respect of capital and free reserves) at the date of application and how calculated.

5 Name, address and qualifications of the auditors of the company. 9. Names and addresses of the company's principal bankers. 10. Names, addresses and qualifications of the company's professional advisers (other than auditors) including solicitors, investment consultants and loss adjusters, etc. 11. Names and addresses of the company's main insurance brokers and agents. 12. In the case of a non-hong Kong company, the name of the person who is or will be employed by the company and is responsible for the conduct of the whole of the insurance business proposed to be carried on by the company within Hong Kong. Attach the Form A prescribed in the Second Schedule which shall be completed for such person. 13. Names of the directors, including alternate directors, and controllers as within the meaning of section 9 of the Ordinance of the company. Attach the appropriate Forms A and B prescribed in the Second Schedule which shall be completed for each individual or body corporate listed below. 14. Particulars of any business interests (beneficial or otherwise) in Hong Kong related to any of the directors or controllers of the company which exists or which is proposed to exist.

6 - 6 - PART II - EXISTING AUTHORIZATIONS 15. The classes of insurance business which the company is currently authorized to carry on in Hong Kong, if applicable. 16. In the case of a non-hong Kong company, a certificate from the supervisory authority of the company's place of incorporation evidencing the classes of insurance business for which the company is authorized in its country of incorporation. 17. Full list of other countries in which the company carries on insurance business and the classes of business carried on in each country. If the classes of business do not correspond with the classification set out in the First Schedule, the equivalent or nearest Hong Kong classification must be given. country classes of insurance business 18. Whether any application for authorization has been refused, any authorization revoked, or any requirements imposed as a condition for being permitted to continue to carry on insurance business, by any supervisory authority, and if so, give particulars.

7 - 7 - PART III - BUSINESS PLAN 19. The sources of business (for example : direct from public, through insurance brokers and agents, in-house from group companies) and the approximate percentage expected from each source. 20. The particulars of the marketing activities which the company proposes to carry out in Hong Kong. 21. The nature of the commitments which the company proposes to take on in Hong Kong (including establishment of its own office (in the case of a non-hong Kong company, its own branch office) as its place of business in Hong Kong, and give particulars of the office infrastructure). 22. In the case of a non-hong Kong company:- what arrangements would be made with regard to the keeping of books of account and other records in respect of the Hong Kong operations. To what extent, the company considers that it is able to meet the accounting requirements and valuation regulations under the Ordinance. 23. Whether it is proposed to transact business in Hong Kong of the kind envisaged by Section 8(3)(b)(iii), i.e. insurance business (not being reinsurance business) relating to liabilities or risks in respect of which persons are required by any Ordinance to be insured, e.g. motor vehicles third party risks insurance, employees' compensation insurance, local vessels third party risks insurance and building owners corporation third party risks insurance. 24. In the case of a company incorporated in Hong Kong intending to extend its operations overseas, a detailed description of its proposed overseas operations and the proportion in its global business portfolio.

8 A brief summary of the material reinsurance arrangements in respect of each class of insurance business to be written in or from Hong Kong including the company's maximum retention per risk or event after all reinsurance ceded, the limit of reinsurance, the names of the principal reinsurers and the respective percentages underwritten by them under each treaty. 26. In the case of a non-hong Kong company, a list of investments which the company expects to represent the insurance funds and the relevant amount (i.e. solvency margin) pertaining to the insurance business written in or from Hong Kong and the estimated proportion which will be represented by each type of investment, together with a description of the company s investment policy in relation to the Hong Kong Branch.

9 In the case of a company incorporated in Hong Kong, (i) a list of investments which the company expects to represent its capital, surpluses and insurance funds; and the estimated proportion which will be represented by each type of investment, together with a description of the company s investment policy; (ii) a description of the company s dividend policy. 28. A description of the company s claims reserving policy, including arrangements for setting up reserves, frequency of reviewing, and measures and methodologies used to ensure their adequacy. In case of a non-hong Kong company, the claims reserving policy to be stated is in respect of its Hong Kong business. 29. A description of the arrangements made by the company for setting premium rates in respect of each class of business it proposes to carry on in Hong Kong, including the bases and methodologies used. 30. In the case of a company incorporated in Hong Kong, provide two sets of financial projections, representing separately a best estimate and a pessimistic estimate, for each of the first three financial years following authorization in respect of its global operations. The financial projections should include a projected revenue account, a projected profit and loss account and a projected balance sheet prepared in the format as shown at Annex A. A best estimate projection should show the company s realistic expectations while a pessimistic estimate projection should show the worse scenario (including higher loss ratios, lower premium volume, higher commission and expenses ratios, etc.)

10 In the case of a non-hong Kong company, (i) provide two sets of financial projections, representing separately a best estimate and a pessimistic estimate, for each of the first three financial years following authorization in respect of the operation of its Hong Kong Branch. The financial projections should include a projected revenue account, a projected profit and loss account and a projected balance sheet prepared in the format as shown at Annex B. A best estimate projection should show the company s realistic expectations while a pessimistic estimate projection should show the worse scenario (including higher loss ratios, lower premium volume, higher commission and expenses ratios, etc.); and (ii) provide financial projections for each of the first three financial years following authorization in respect of the company s global operations. The financial projections should include a projected revenue account, a projected profit and loss account and a projected balance sheet in the format as shown at Annex C. (If the company has been carrying on insurance business and has submitted copies of its audited financial statements for the 3 financial years immediately preceding the application under item 35 below, no financial projections in the format as shown at Annex C are required. In that circumstances, a description of the company s business plan in respect of its global operations, including the expected growth in the next 3 years, will suffice).

11 PART IV - OTHER INFORMATION, ACCOUNTS, AGREEMENTS, REINSURANCE TREATIES, CERTIFICATE AND REPORTS 32. The rationale for the company to carry on insurance business in or from Hong Kong. Whether such rationale is substantiated by viable market feasibility study. Attach a copy of the market feasibility study report, which should include information on the market statistics used for the study. 33. In the case of a non-hong Kong company:- (i) (ii) a brief description of its existing worldwide operations; and the up-to-date rating and ranking in respect of the financial position of the company and the name of the credit rating agency concerned. 34. A description of the internal controls proposed to be implemented to secure the proper functioning of the company, including policies, procedures and controls in relation to anti-money laundering ( AML ) and counter-financing of terrorism ( CFT ). 35. Copies of the audited financial statements (including revenue account, profit and loss account and balance sheet) of the company for each of the last three financial years or, if the company has not been in business for three financial years, for each of the financial years for which it has been in business. 36. If not already given in the notes to the accounts submitted under paragraph 35 above, a summary of the significant accounting policies adopted or to be adopted by the company. 37. If the company is subject to any statutory valuation regulations in respect of its assets in its country of incorporation, copies of the valuation regulations concerned. 38. An auditors' certificate in respect of the issued and paid-up share capital of the company. (This certificate is not necessary if the present paid-up share capital is evidenced in the latest audited accounts already submitted.)

12 With reference to paragraph 25 above, attach copies of reinsurance treaties or cover notes or the proposals for such treaties if applicable. In addition, if it is a non-hong Kong company, furnish a brief summary of the material reinsurance arrangements in respect of the company's worldwide business including the company's maximum retention per risk or event after all reinsurance ceded, the limit of reinsurance, the names of the principal reinsurers and the respective percentages underwritten by them. 40. Copies or drafts of any agreements which the company will have with persons (other than employees of the company) who will manage the business of the company in Hong Kong. 41. Copies of any report or investigation in respect of the company produced within the last three years by any supervisory authority or governmental agency. 42. Copies of the latest accounts of any corporate controller of the company (within the meaning of Section 9 of the Ordinance) and of any intermediate holding company. 43. A copy of the corporate chart of the group of which the company is a member, showing the respective percentages of shareholdings, if applicable. 44. i) State, whether in any jurisdiction within the past five years - a) a petition has been presented to the Courts for the winding up of the company, any other group company or a company which left the group shortly before getting into difficulty, b) a receiver has been appointed in respect of any of the assets of the company, any other group company or a company which left the group shortly before getting into difficulty, or c) the company, any other group company or a company which left the group shortly before getting into difficulty has made any composition or arrangement with its creditors or any class of its creditors, and ii) if the answer to any of the above is "yes", give details of the present position regarding any such petition/receivership/composition/arrangement.

13 State whether there are other arrangements under which the solvency of the company may depend on that of a third party. 46. A copy of the Certificate of Incorporation of the company and, if it is a non-hong Kong company and registered under Part 16 of the Companies Ordinance (Cap. 622) of Hong Kong, a copy of the Certificate of Registration of Non-Hong Kong Company issued by the Registrar of Companies, Hong Kong. - END - June 2013 (Updated in October 2014)

15 Annex A Page 2/4 Pages SUPPLEMENTARY SCHEDULE TO PROFORMA REVENUE ACCOUNT FOR THE YEAR ENDING ON Classes of General Business TOTAL Notes: A8) Unearned premiums adjustment i) Unearned premiums at end of year ii) Unearned premiums at beginning of year Increase / (decrease) (i)-(ii) B5) Unexpired risks adjustment i) Amount of unexpired risks at end of year ii) Amount of unexpired risks at beginning of year Increase / (decrease) (i)-(ii) C5) Provision for outstanding claims adjustment i) Provision for outstanding claims ia) Gross amount ib) Amount recoverable from reinsurers ic) Net amount (ia)-(ib) ii) Provision for IBNR iii) Amount of outstanding claims including IBNR at end of year (ic)+(ii) iv) Amount of outstanding claims including IBNR at beginning of year Provision for outstanding claims adjustment (iii)-(iv) (a) Amounts must be expressed in Hong Kong dollars. (b) The assumptions made in the projections and the rationales behind use of those assumptions should be given. (c) The accounting policies and bases adopted in the projections should be given. (d) The projected business can be broken down into the following classes:- Accident and health Motor vehicle Aircraft Ships Goods in transit Property damage Employees compensation General liability, excluding employees compensation Pecuniary loss

16 Annex A Page 3/4 Pages PROFORMA PROFIT & LOSS ACCOUNT FOR THE YEAR ENDING ON Turnover Profit / (Loss) transferred from revenue account Investment income Other income Exchange gain/(loss) Preliminary setting-up expenses General and management expenses fixed charges variable charges Profit/(Loss) before taxation Taxation Profit/(Loss) for the year Retained Profit/(Loss) at beginning of year Retained Profit/(Loss) at end of year Notes: (a) (b) (c) Amounts must be expressed in Hong Kong dollars. The assumptions made in the projections and the rationales behind use of those assumptions should be given. The accounting policies and bases adopted in the projections should be given.

17 Annex A Page 4/4 Pages PROFORMA BALANCE SHEET AS AT ADJUSTED VALUE UNDER THE VALUATION REGULATION Notes: ASSETS Fixed assets Land and buildings Other fixed assets Intangible assets Investments Listed shares Listed securities Unit trust & mutual funds Unlisted shares & securities Investment in subsidiaries insurance companies investment holding companies others Investment in associated companies Book value Eligible asset value before admissible limit Eligible asset value subject to admissible limit (a) (b) (c) (d) (e) (f) Amounts must be expressed in Hong Kong dollars. The assumptions made in the projections and the rationales behind use of those assumptions should be given. The accounting policies and bases adopted in the projections should be given. Eligible asset value refers to the value of assets determined in accordance with the Insurance Companies (General Business) (Valuation) Regulation '("Valuation Regulation"). Admissible limit refers to the extent of the eligible asset value permitted under section 14 of the Valuation Regulation. As for listed shares or securities, unit trusts or mutual funds, the names of the stock exchanges on which they are listed as well as the names of the credit rating agencies giving the ratings should be provided. Current assets Cash and bank deposits Premium debtors direct insurance business reinsurance accepted business Other debtors and prepayments Amount due from related companies Other assets (please specify if material) TOTAL ASSETS LIABILITIES Subordinated loan stock Outstanding claims (including IBNR) Gross outstanding claims Recoveries from reinsurers Net outstanding claims Unearned premiums Other insurance funds Amounts due to reinsurers Other creditors and accrued expenses Other liabilities (please specify if material) TOTAL LIABILITIES SHAREHOLDERS EQUITY Share capital General reserve Revaluation reserve Other reserves Retained profits TOTAL SHAREHOLDERS EQUITY Adjustments under the Valuation Regulation other than section 14 Adjustments under section 14 of the Valuation Regulation TOTAL LIABILITIES AND SHAREHOLDERS EQUITY

19 Annex B Page 2/4 Pages SUPPLEMENTARY SCHEDULE TO PROFORMA REVENUE ACCOUNT OF HONG KONG BRANCH FOR THE YEAR ENDING ON Classes of General Business TOTAL Notes: A8) Unearned premiums adjustment i) Unearned premiums at end of year ii) Unearned premiums at beginning of year Increase / (decrease) (i)-(ii) B5) Unexpired risks adjustment i) Amount of unexpired risks at end of year ii) Amount of unexpired risks at beginning of year Increase / (decrease) (i)-(ii) C5) Provision for outstanding claims adjustment i) Provision for outstanding claims ia) Gross amount ib) Amount recoverable from reinsurers ic) Net amount (ia)-(ib) ii) Provision for IBNR iii) Amount of outstanding claims including IBNR at end of year (ic)+(ii) iv) Amount of outstanding claims including IBNR at beginning of year Provision for outstanding claims adjustment (iii)-(iv) (a) Amounts must be expressed in Hong Kong dollars. (b) The assumptions made in the projections and the rationales behind use of those assumptions should be given. (c) The accounting policies and bases adopted in the projections should be given. (d) The projected business can be broken down into the following classes:- Accident and health Motor vehicle Aircraft Ships Goods in transit Property damage Employees compensation General liability, excluding employees compensation Pecuniary loss

20 Annex B Page 3/4 Pages PROFORMA PROFIT & LOSS ACCOUNT OF HONG KONG BRANCH FOR THE YEAR ENDING ON Profit / (Loss) transferred from revenue account Investment income Other income Exchange gain/(loss) Preliminary setting-up expenses General and management expenses fixed charges variable charges Profit/(Loss) before taxation Taxation Profit/(Loss) for the year Surplus/(Deficit) at beginning of year Surplus/(Deficit) at end of year Notes: (a) (b) (c) Amounts must be expressed in Hong Kong dollars. The assumptions made in the projections and the rationales behind use of those assumptions should be given. The accounting policies and bases adopted in the projections should be given.

21 Annex B Page 4/4 Pages PROFORMA BALANCE SHEET OF HONG KONG BRANCH AS AT Fixed assets Land and buildings Other fixed assets ASSETS Book value Eligible asset value under Valuation Regulation Notes: (a) Amounts must be expressed in Hong Kong dollars. (b) The assumptions made in the projections and the rationales behind use of those assumptions should be given. (c) The accounting policies and bases adopted in the projections should be given. Investments Listed shares Listed securities Unit trust & mutual funds Unlisted shares & securities Investment in subsidiaries insurance companies investment holding companies others Investment in associated companies (d) Eligible asset value refers to the value of assets determined in accordance with the Insurance Companies (General Business) (Valuation) Regulation ("Valuation Regulation"). (e) As for listed shares or securities, unit trusts or mutual funds, the names of the stock exchanges on which they are listed as well as the names of the credit rating agencies giving the ratings should be provided. Current assets Cash and bank deposits Premium debtors direct insurance business reinsurance accepted business Other debtors and prepayments Amount due from related companies Other assets (please specify if material) TOTAL ASSETS LIABILITIES Outstanding claims (including IBNR) Gross outstanding claims Recoveries from reinsurers Net outstanding claims Unearned premiums Other insurance funds Amounts due to reinsurers Other creditors and accrued expenses Other liabilities (please specify if material) HEAD OFFICE CURRENT ACCOUNT Beginning Balance Surplus/(Deficit) for the year Ending Balance Adjustments under the Valuation Regulation other than section 14 TOTAL LIABILITIES & HEAD OFFICE CURRENT ACCOUNT

22 Annex C Page 1/4 Pages Annex C Projected Financial Statements for a non- Hong Kong company PROFORMA REVENUE ACCOUNT FOR THE YEAR ENDING ON (Projected on a worldwide operation basis) Classes of General Business TOTAL A) PREMIUMS WRITTEN A1) Gross premiums receivable A2) Reinsurance premiums payable A3) Net premiums written (A1-A2) A4) Unearned premiums adjustments A5) Net premiums earned (A3-A4) B) UNDERWRITING EXPENSES B1) Net commissions payable B2) Management expenses B3) Other expenses B4) Total net expenses (B1+B2+B3) C) CLAIMS INCURRED C1) Gross amount C2) Recoveries from reinsurers C3) Net amount (C1-C2) D) UNDERWRITING RESULT Profit / (Loss) (A5-B4-C3) Notes: (a) (b) (c) (d) Currencies used should be specified. The assumptions made in the projections and the rationales behind use of those assumptions should be given. The accounting policies and bases adopted in the projections should be given. Insurance business can be grouped under two categories "Property" and "Liability" in the projections.

23 Annex C Page 2/4 Pages PROFORMA PROFIT & LOSS ACCOUNT FOR THE YEAR ENDING ON (Projected on a worldwide operation basis) Turnover Profit / (Loss) transferred from revenue account Investment income Other income Exchange gain or loss General and management expenses Profit/(Loss) before taxation Taxation Profit/(Loss) for the year Retained Profit/(Loss) at beginning of year Retained Profit/(Loss) at end of year Notes: (a) Currencies used should be specified. (b) The assumptions made in the projections and the rationales behind use of those assumptions should be given. (c) The accounting policies and bases adopted in the projections should be given.

24 Annex C Page 3/4 Pages PROFORMA BALANCE SHEET AS AT (Based on the projected result of the company's worldwide operation) ASSETS Notes Land and buildings (a) Currencies used should be specified. (b) The assumptions made in the projections and Intangible assets the rationales behind use of those assumptions should be given. Investments Listed bonds (c) The accounting policies and bases adopted in the projections should be given. Listed shares Unit trust & mutual funds Unlisted shares & securities Investment in group companies Current assets Cash and bank balances Insurance debts Other debtors and prepayments Other assets (please specify if material) TOTAL ASSETS

26 CHECKLIST Appendix Name of Applicant ( the Company ) : _[Insert the name of the insurer applying for authorization] 1. Have the classes of general business applied for been stated in the application form? 2. Have all the questions in the application form been answered? 3. Have all the applicable documents listed in Appendix A been attached to the application? 4. Has the application form been signed by 2 directors and the chief executive of the Company? 5. Has the application form been dated and sealed (where applicable)? if done IA Use Only

27 Appendix A Documents submitted to the Insurance Authority Part I The Company 1. Certificate of Incorporation 2. Articles of Association (for company incorporated in Hong Kong) 3. Form NN1 filed with the Companies Registry for registration under Part 16 of the Companies Ordinance (Cap. 622) (for non-hong Kong company) 4. Certificate of Registration of Non-Hong Kong Company issued by the Registrar of Companies, Hong Kong (for non-hong Kong company) 5. Forms A and B, as appropriate, as prescribed in the Second Schedule to the Insurance Companies Ordinance ( the Ordinance ), of the directors and controllers (within the meaning of section 9 of the Ordinance) if submitted Part II Existing Authorization 6. Certificate from the supervisory authority of the applicant s place of incorporation evidencing the classes of insurance business for which the applicant is authorized in its country of incorporation (for non-hong Kong company) 7. List of countries in which the Company carries on insurance business and the classes of business carried on in each country Part III Business Plan 8. Organization chart showing the management and reporting lines of the Hong Kong operations, with professional qualifications and working experience of key personnel in Hong Kong 9. Two sets of three-year financial projections of the Company/Hong Kong branch - one on a best estimate basis and the other on a pessimistic estimate basis (assumptions and methodologies used in the projections should be clearly stated) Part IV Other Information, Accounts, Agreements, Reinsurance Treaties, Certificate and Reports 10. Market feasibility study report 11. Up-to-date rating and ranking report, if any

28 - 2 - Part IV Other Information, Accounts, Agreements, Reinsurance Treaties, Certificate and Reports 12. Audited financial statements for the last three financial years (if in operation overseas) 13. Statutory valuation regulation(s) in the country of incorporation (for non-hong Kong company which is subject to the statutory valuation regulations in respect of its assets in its country of incorporation) 14. Auditors certificate on issued and paid-up share capital (this is not necessary if the present paid-up share capital is evidenced in the latest audited accounts already submitted) 15. Reinsurance treaties or cover notes, if applicable 16. Agreement for management of business in Hong Kong, if applicable 17. Investigation report by supervisory authority or governmental agency, if any 18. Latest accounts of all corporate controllers (within the meaning of section 9 of the Ordinance) of the Company 19. Corporate chart of the group of which the Company is a member, with respective percentages of shareholding 20. Policies, guidelines or manuals on internal control, underwriting, claims handling and reserving, reinsurance, investment and AML/CFT in Hong Kong if submitted [R2Draft_Clist_IA-6G-revised]

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